Ch 39 Pharm

Front 1

________ involves administration of an antigen to induce antibody formation (for active immunity ) or administration of serum form immune people (for passive immunity)

Back 1

Immunization

Front 2

_________ are suspensions of microorganisms or attenuated (weakened or reduced in virulence) so that they an induce antibody formation while preventing or causing very mild forms of the disease.

Back 2

Vaccines

Front 3

__________ live vaccines produce immunity usually lifelong that is similar to that produced by natural infection.

Back 3

Attenuated

Front 4

___________ are bacterial toxins or products that have been modified to destroy toxicity while retaining antigenic properties.

Back 4

Toxids

Front 5

Immunization with toxoids is not permanent; scheduled repeat doses called _________ are required to maintain immunity.

Back 5

Boosters

Front 6

Prevention of disease caused by HPV types 6, 11, 16, 18 (cervical, vaginal, and vulvar cancer; genital warts) in girls and women aged 9 to 26 yrs

Back 6

Human papillomavirus (HPV) (Gardisil)

Front 7

Routine immunization of children 12 months to 12yrs of age

Back 7

Measles, mumps, rubella, and varcilla vaccine (Proquad)

Front 8

Prevention of infection with Hib, a common cause of serious bacterial infection including meningitis, in children younger than 5yrs of age.

Back 8

Haemophiulus influenza b

Front 9

Recommended for college students living in dormitories

Back 9

Meningitis meningococcal disease (Menactra; Menomune)

Front 10

Routine immunization of children 6wks to 15 months of age born to HbsAg negative mothers

Back 10

Haemophilus influenzae b (Hip) with hepatitis B (Comvax)

Front 11

When you obtain a history from a new client you should also do which of the following?

a. Offer all available new immunizations

b. Assess the clients immunization status

c. inform the client that immunization will be administered

d. Inform the client that a new immunization schedule will begin.

Back 11

b

Front 12

Mr. Clark is treated for his cancer of the colon with a combination of chemotherapy and radiation therapy. During a routine physicians visit you determine that he is behind in his immunization. For when should you schedule immunization?

a. This appointment

b. Three months after his cancer treatment is completed

c. The next routine appointment

d. 30 days after his cancer treatment is completed.

Back 12

b

Front 13

For children with HIV infection which of the following is true about most routine immunization?

a. They are determined by the clients T cell count

b. They are determined by the WBC

c. They are recommended.

d. They are not recommended.

Back 13

c

Front 14

Pneumococcal vaccine is recommended for HIV infected persons older than ________ yrs of age.

Back 14

2yrs

Front 15

Mr. James is diagnosed with HIV. He also is diagnosed with mild bladder cancer. The physician does not prescribe BCG for which of the following reasons?
a. It is not effective when the client is diagnosed with HIV.

b. It is an attenuated vaccine

c. It is a live vaccine.

d. It will further impair the clients immune system.

Back 15

c.

Front 16

Mrs Phyllis is living with HIV. She is exposed to measles. Which of the following is the treatment of choice in this case?

a. Live vaccine

b. No vaccine and presumptive treatment of the disease

c. Varicella zoster immune globulin for active immunization.

d. Immune globulin

Back 16

d

Front 17

Patient receiving a systemic corticosteroid in high doses or for longer than 2 wks should wait at least ______ ____ before being given a live virus vaccine.

Back 17

3 months

Front 18

Mrs. Morgan presents to the physicians office with shoulder pain and is diagnosed with bursitis. The physician administers an intra articular injection of a corticosteroid. You discover that the client requires a tetanus booster. Which of the following would you expect the physician to do?

a. Postpone the booster for 1 week.

b. Postpone the booster until the next physicians visit.

c. State that the booster is contraindicated a this time.

d. Order the booster.

Back 18

d

Front 19

Mr. Crete presents to the ER with an asthma attack. He is treated and sent home with prednisome 10mg on a taper and is encouraged to see his physician within 1 wk. During an assessment of the hart you notice that Mr. Crete is overdue for his tetanus booster. Which of the following would you expect the physician to do?

a. Postpone the booster until the next physicians visit.

b. State that the booster is contraindicated a this time.

c. Order the booster

d. Postpone the booster for 1wk

Back 19

c

Front 20

Which of the following types of vaccine is contraindicated in clients who have active malignant disease?

a. Killed vaccines

b. Toxoids

c. Attenuated vaccines

d. Live vaccines

Back 20

d

Front 21

Ms. Whitney is receiving chemotherapy for breast cancer. She requires a vaccine booster. For when would the physician order the administration of the vaccine?

a. 1 yr after chemotherapy is completed

b. 3 months after chemotherapy is completed

c. 30 days after chemotherapy is completed.

d. 6 months after chemotherapy is completed.

Back 21

b

Front 22

Clients diagnosed with diabetes mellitus or chronic pulmonary renal or hepatic disorders who are not receiving immunosuppressant drugs may be given which of he following types of vaccine? (Select all that apply)

a. Live attenuated vaccines

b. Killed vaccines

c. Toxoids

d. Conjugated vaccines

Back 22

a, b, c

Front 23

Mr. Reed age 65 lives in a long term care facility. The infection control nurse identifies a cluster of clients on his unit diagnosed with shingles. Which of the following would she expect the clients physician to order?

a. Isolation of the client

b. Shingles vaccine

c. Isolation of the clients peers

d. HBV vaccine

Back 23

b

Front 24

A newer Tetanus diphtheria pertussis vaccine is recommended to replace the Td booster dose in adult up to __________ yrs of age.

Back 24

64

Front 25

The _________ - _________ virus, the same virus that causes chicken pox causes shingles.

Back 25

Varcella - Zoster

Front 26

Recommended immunization for older adults included which of he following? (select all that apply)

a. A tetanus diphtheria (Td) booster every 10 yrs

b. An MMR every 7 to 10yrs

c. An annual influenza vaccine

d. A one time administration of pneumococcal vaccine at 65 yrs of age.

Back 26

a, c, d

Front 27

Mr. victor received a dose of pneumococcal vaccine during a physicians visit at the age of 60. Which of the follwoing would you recommend?

a. A second dose when he turns 65

b. A second dose when eh turns 70

c. That he maintain his healthy lifestyle; a second dose is not needed.

d. That he receive a booster in 6 months.

Back 27

a

Front 28

Bryant age 15 presents to the physicians office with his mother. Assuming that he received all of his primary immunizations as an infant and young child, which of the following immunization would you expect the physician to order? (select all that apply)

a. A second dose of varicella vaccine

b. A tetanus dephtheria pertussis booster

c. An MMR booster

d. A hepatitis B booster

Back 28

a, b

Front 29

Which of the following is a contraindication to an MMR booster for an adolescent female?

a. Menses

b. Pregnancy

c. A positive titer

d. History of rubeola

Back 29

b

Front 30

Which of the following is the best source of information for current recommendation regarding immunizations and immunization schedules?

a. Department of public health

b. Department of epidemiology

c. Local physicians office

d. Centers for Disease Control and Prevention.

Back 30

d

Front 31

_________ vaccine is used to protect infants against rota-virus gastroenteritis and infection that causes diarrhea, vomiting, and fever.

Back 31

Rotavirus (Rotateq)